Shaylan Rae Watts, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

694198 Issued in NY

Practice address

5564 Centerpointe Blvd Apt 6
Canandaigua, NY 14424-7840

Phone

(585) 813-5983

NPI assigned

Jul 20, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1861979023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5564 CENTERPOINTE BLVD APT 6",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144247840",
            "telephone_number": "585-813-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5564 CENTERPOINTE BLVD APT 6",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144247840",
            "telephone_number": "585-813-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "SHAYLAN",
        "middle_name": "RAE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "694198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Wallace, OT
• Jessica Wallner, LMSW
• Megan Nicholson Walters, M.D.
• Michael Walther
• Gary Christopher Warner, PHD
• Alice May Weaver, PTA
• Beth Mattoon Webster
• Cassandra Webster
• Hannah Elise Weeden, LMSW
• Robert F Weeden, D.O.

• Pediatric Registered Nurse in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Pediatric Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.